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Bordetella bronchiseptica infection

机译：Bordetella Bronchiseptica感染

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Abstract Objective To collect data of all patients admitted to hospital with a positive test to Bordetella bronchiseptica between 2001 and 2015. Methods We performed a retrospective monocentric study of all hospitalized patients over the past 15 years with a positive test to B .? bronchiseptica . Results Nine patients were included between 2001 and 2015; two presented with infectious relapses, i.e. a total of 14 positive test samples were observed. Age, induced immunodeficiency, and preexisting respiratory illnesses are risk factors. All patients showed symptoms at sample collection and the infection was exclusively respiratory. The diagnosis was obtained through a cytobacteriological test of sputum, bronchial aspiration, or bronchial fibroscopy with a bronchoalveolar lavage. The drug susceptibility test revealed a natural resistance to cephalosporins including ceftazidime, monobactam, and fosfomycin. There were cases of resistance to penicillin A and to the trimethoprim/sulfamethoxazole association. The classically used antibiotic treatment for community-acquired pneumonia is based on probability and may thus fail. Four patients died. The duration and nature of the antibiotics to use have not been codified. Conclusion B .? bronchiseptica infection mainly affects the elderly. All patients should be treated, regardless of the importance of the inoculum, and all infected animals should be treated.
机译：摘要目的收集2001年至2015年间培养到Bordetella Bronchiseptica的患者的所有患者的数据。方法对过去15年来对所有住院患者进行了回顾性的单眼性研究，并对B的阳性测试进行了阳性测试。 Bronchiseptica。结果2001年至2015年间包括九名患者;两者呈现出传染性的复发，即观察到14种阳性测试样品。年龄，诱导免疫缺陷和预先存在的呼吸道疾病是危险因素。所有患者均显示样品收集症状，感染专门呼吸。通过痰，支气管抽吸或支气管纤维检查的细菌学试验获得诊断，具有支气管肺泡灌洗。该药物易感性测试揭示了对包括头孢他啶，单食用菌和福孢菌素的头孢菌素的抗性抗性。存在对青霉素A和三甲吡啶/磺胺甲恶唑结合的抵抗病例。对社区获得的肺炎的经典抗生素治疗基于概率，因此可能会失败。四名患者死亡。抗生素使用的持续时间和性质尚未编制编码。结论b。？ Bronchiseptica感染主要影响老年人。所有患者都应治疗，无论接种物的重要性如何，都应治疗所有受感染的动物。

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